Individual
MS. M. JACQUELINE DEROUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
808 N HIGHWAY 26 LOT A, LAKE ARTHUR, LA 70549-3408
(337) 774-3010
Mailing address
808 N HIGHWAY 26 LOT A, LAKE ARTHUR, LA 70549-3408
(337) 774-3010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA#0841
LA
Other
Enumeration date
06/21/2008
Last updated
06/21/2008
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